How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $64.57 Median $97.72 Typical High $151.36 | Facility | None | $64.57 | $97.72 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $104.71 | Professional | None | $64.57 | $83.18 | $104.71 |
Anthem BCBS Setting Professional Modifier None Typical Low $79.43 Median $117.49 Typical High $186.21 | Professional | None | $79.43 | $117.49 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $93.33 Typical High $147.91 | Professional | None | $61.66 | $93.33 | $147.91 |
Denver HMP Setting Facility Modifier None Typical Low $64.57 Median $97.72 Typical High $154.88 | Facility | None | $64.57 | $97.72 | $154.88 |
Denver HMP Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None | $123.03 | $123.03 | $123.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $114.82 Typical High $177.83 | Professional | None | $70.79 | $114.82 | $177.83 |
Select Health Setting Facility Modifier None Typical Low $107.15 Median $117.49 Typical High $223.87 | Facility | None | $107.15 | $117.49 | $223.87 |
Select Health Setting Professional Modifier None Typical Low $54.95 Median $77.62 Typical High $107.15 | Professional | None | $54.95 | $77.62 | $107.15 |
United Setting Professional Modifier None Typical Low $67.61 Median $97.72 Typical High $151.36 | Professional | None | $67.61 | $97.72 | $151.36 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $38.02 Typical High $48.98 | Professional | 52 · Reduced service | $32.36 | $38.02 | $48.98 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $11.48 Typical High $14.79 | Professional | 55 · Aftercare only | $9.77 | $11.48 | $14.79 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $6.46 Median $7.59 Typical High $9.77 | Professional | 56 · Pre-op care only | $6.46 | $7.59 | $9.77 |
Kaiser Permanente Setting Professional Modifier HO · Master's level Typical Low $44.67 Median $63.10 Typical High $100.00 | Professional | HO · Master's level | $44.67 | $63.10 | $100.00 |
Where Colorado sits
The same service costs 2.9 times more in Alaska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Colorado· 21st of 51
$100
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.